4VM-15754-61140 · OpenVSafe

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-04
Dose 1 — Moderna
2021-02-08
Registered in v-safe
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Headache

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-19
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Good

Free text: Headache on both sides of temple and in back of head. I do not usually get headache in these areas.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-04
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-03-14
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Itching · Muscle or body aches

Adult check-in
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 28, dose 2
MedDRA: Fatigue, Muscular weakness — Feeling: Good

Free text: Weakness in left legs. Shopped at market and very tired at arriving home

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 35, dose 2
MedDRA: Arthralgia — Feeling: Fair

Free text: Pain in left shoulder, pain in left temple area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — 3 months, dose 2
MedDRA: Blepharospasm, Eye pain, Headache, Muscle twitching, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaces both sides of face, pain in calf lft leg, twitching lft side mouth & eye Pain in left inner thigh of leg near groin area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-03
Survey response — 6 months, dose 2
MedDRA: Headache — Feeling: Good

Free text: Headaches on both side of temple. At various times . The pain now is less severe and not as often.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-03-04
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-09

Systemic reaction (other): No

Release 4 — day 14, dose 1

2021-02-19

Symptoms: Headache on both sides of temple and in back of head. I do not usually get headache in these areas.

Release 6 — day 28, dose 2

2021-04-01

Symptoms: Weakness in left legs. Shopped at market and very tired at arriving home

Release 7 — day 35, dose 2

2021-04-09

Symptoms: Pain in left shoulder, pain in left temple area.

Release 8 — 3 months, dose 2

2021-06-04

Symptoms: Headaces both sides of face, pain in calf lft leg, twitching lft side mouth & eye Pain in left inner thigh of leg near groin area.

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: Headaches on both side of temple. At various times . The pain now is less severe and not as often.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
SD	Arthralgia	✓	✓	✓
SD	Blepharospasm	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Muscle twitching	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	No adverse event	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release